优质护理在食管癌患者根治性放疗中的应用效果研究  

Effect of high quality nursing on radical radiotherapy of patients with esophageal cancer

作　　者：杨英珍[1] 苏斯丽 王琳[1] 李明月[1] 

机构地区：[1]安徽医科大学第一附属医院肿瘤放疗科,安徽合肥230022

出　　处：《中华疾病控制杂志》2014年第7期670-673,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的探讨优质护理在食管癌根治性放疗中的应用效果。方法选择根治性放疗的食管癌患者80例,按实施优质护理服务为分界点分成对照组、观察组各40例。对照组给予传统护理;观察组给予优质护理,比较2组急性食管炎发生情况、焦虑改善情况以及放疗依从性水平。结果在放射剂量达40 GY（χ2=8.35,P=0.004）、60 GY（χ2=10.31,P=0.001）时,观察组3~4级重度食管炎的发生均少于对照组,差异均有统计学意义。观察组放疗依从性水平及焦虑改善情况优于对照组,差异均有统计学意义（χ2=6.20,P1=0.045;22=9.14,P2=0.002）。结论优质护理可减少重度急性放射性食管炎发生,改善患者焦虑情绪,提高患者放疗依从性。Objective Explore the effect of high quality nursing on radical therapy of esophageal cancer. Methods 80 cases of patients with esophageal cancer were collected and subjected to and received radical therapy. The patients were divided into control and observation groups,40 cases in each. The control group was given traditional nursing care and the observation group was given high quality nursing care. The occurrences of esophagitis,improvements of anxiety and levels of radiotherapy compliance of the two groups compared. Results the occurrence of 3-4 severe radiation-induced esophagitis of observation group was much less than that of the control group when the radiation dose reached 40 GY or 60 GY.The difference was statistically significant（ P = 0. 004 and 0. 001,respectively）. The levels of radiotherapy compliance and anxiety improvements of observation group were significantly better than control group,the difference was statistically significant（ χ2= 6. 20,P1= 0. 045; χ22= 9. 14,P2= 0. 002）. Conclusions The high quality nursing care can reduce the incidence of severe acute radiation-induced esophagitis,improve the anxiety emotion and increase compliance of the patients.

关 键 词：护理 食管肿瘤 放射疗法 治疗结果 

分 类 号：R735.1[医药卫生—肿瘤] R181[医药卫生—临床医学]